Entry Form - Cue Sports India

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83nd Senior (Men), 41th Junior ( Boys) , 12th Sub Junior (Boys), 25th
Senior (Women) & 9th Junior &2nd Sub Junior (Girls)“MANISHA”
National Billiards & Snooker Championships 2016 from 12th Jan to 31th
Jan 2016 at The Emerald Heights International School, A.B. Road,
Indore (MP).
Entry Form
Entry Closes on: 12TH December, 2015
Entry fee
Men:
Senior
Junior
Sub Junior
: Rs.1000/- per event per player
: Rs. 500/- per event per player
: Rs. 300/- per event per player
Ladies:
Senior
Junior & Sub Junior
: Rs.500/- per event per player
: Rs.300/- per event per player
Venue:
The Emerald Height International School
A.B. Road Indore (MP)
Entries to be sent to:
Mr. Bholu Mehta
President
Madhya Pradesh Billiards & Snooker Association,
JAWAHARLAL NEHRU STADIUM,
OPPOSITE M. Y. HOSPITAL, A.B. ROAD,
INDORE-452001 (MP)
Ph. 0731-2705558, 2722670
Mob: +91 9826049027
Please accept the entry/entries mentioned below for the said Championship.
A sum of Rs. _______________towards entry fee is sent herewith.
Entry fee to be paid in the form of Demand Draft drawn in favor of “M. P. BILLIARDS & SNOOKER
ASSOCIATION,” payable at par at Indore (MP).
OR
Bank transfer/ Account transfer as per following detail (pl attach copy of the bank payment slip)
Bank: Bank of India.
Bank IFSC Code No: BKID0008801
E-mail: bholumehta@bsfi.net
Bank account no: 880110110002304
We hereby declare that our nominee/s is/are player/players in accordance with the definition
adopted by the Billiards & Snooker Federation of India.
Name of the Players (Men)
Senior Billiards
Senior Snooker
1.
1.
2.
2.
3.
(Direct)
3.
(Direct)
4._________________ (Direct)
4.________________ (Direct)
Junior Billiards
Junior Snooker
1.
1.
2.
2.
3.
3.
Sub. Junior Billiards
Sub. Junior Snooker
1.
1.
2.
2.
3.
3.
4.
4.
5.
5.
Name of the Players (Ladies)
Senior Billiards
Senior Snooker
1. ___________________
1. ____________________
2. ___________________
2. ____________________
Junior Billiards
Junior Snooker
1. ___________________
1. ____________________
2. ___________________
2. ____________________
Sub.Junior Billiards
Sub. Junior Snooker
1. ___________________
1. ____________________
2. ___________________
2. ____________________
Entry Form For Qualifying
Entry fee: Seniors: Rs.1000/-, Juniors: Rs.500/- per event per player
Senior Billiards
Senior Snooker
1.
1.
2. _______
2.
3. ________
3.
4. __________
4.
5. _________
5.
6.
6.
7.
7.
8.
8.
9.
9.
10.
10.
Junior Billiards
Junior Snooker
1.
1.
2. _______
2.
3. ________
3.
4. __________
4.
5. _________
5.
Name of the Association: ______________________________________________
For any Queries regarding Entry, please contact Sh. Bholu Mehta, Mob: 09826049027
Authorized signature & rubber stamp of the affiliated unit/association of BSFI

All Juniors & Sub-Juniors entries should be accompanied with Proof of age
certificate. The age of juniors should be below the age of 21 and the age of Sub
junior should be below the age of 18 as on 31st December 2015. In other words
only players born in the year 1995 or onwards are eligible to participate in the
U-21 event and players born in the year 1998 or onwards are eligible to
participate in the U-18 event.


Only BSFI accredited players shall be allowed to participate in the Indian National
Championship.
Entries will be accepted only through respective State Associations
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